Individual
LIANA MICHELLE JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4092 FOXWOOD DR, VIRGINIA BEACH, VA 23462-5225
(757) 467-4200
Mailing address
220 VERDE ST, VIRGINIA BEACH, VA 23462-4419
(410) 948-8330
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
—
—
Other
Enumeration date
06/06/2016
Last updated
06/06/2016
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